Village / Rotary Community Sign Message Request

2. Detailed information regarding the Village's community sign display policy:
   Palatine Community Sign Display Policy (PDF)

4. Requesting Organization*

6. First Name*

7. Last Name*

9. Address*

11. City*

12. State

13. Zip Code*

15. Phone*

16. Email*

18. Explain why you think the event is of interest to Palatine residents*

20. Start Date Requested*
    Start Date Requested

21. Proposed Event / Message:*

23. Note: Messages shall be limited in length to what will fit on a single view of sign. The Village retains the right to edit any message for space, content, or clarity. Sign message requests are generally processed once a week, thus please be sure to submit your request well in advance of the event.

    Note: Messages shall be limited in length to what will fit on a single view of sign. The Village retains the right to edit any message for space, content, or clarity. Sign message requests are generally processed once a week, thus please be sure to submit your request well in advance of the event.

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24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

* indicates a required field